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Elijah Davis
NPI 1699928564 · on the registry since 2008 · sole proprietor
Practice
- Address
- 2232 Heyward Brockington Road
Columbia, SC 29203 - Phone
- (803) 786-1047
- Fax
- (803) 714-1731
Registry record
- Primary taxonomy
- 310400000X
310400000X
- Also registered as
- 310400000X
- Licence states on file
- SC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-10-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in South Carolina